Leiomyoma of the female urethra: urodynamic changes after surgical intervention

• Published in: International Urogynecology Journal Vol. 16; no. 2; pp. 162 - 164
• Main Authors: Goto, Kenji, Orisaka, Sanae, Kurokawa, Tetsuji, Miyazaki, Mika, Kotsuji, Fumikazu
• Format: Journal Article
• Language: English
• Published: England Springer Nature B.V 01-04-2005
• Subjects: Adult; Dyspareunia - etiology; Female; Humans; Leiomyoma - complications; Leiomyoma - diagnosis; Leiomyoma - surgery; Recovery of Function - physiology; Urethral Neoplasms - complications; Urethral Neoplasms - diagnosis; Urethral Neoplasms - surgery; Urinary incontinence; Urinary Retention - etiology; Urodynamics - physiology; Urology
• ISSN: 0937-3462; 1433-3023
• DOI: 10.1007/s00192-004-1224-y

Leiomyoma of the urethra is a relatively rare condition often presenting as an anterior vaginal wall mass or a mass that protrudes from the urethral meatus. We report on the urodynamic changes after vaginal surgery to remove a suburethral leiomyoma, which protruded from the vaginal orifice resulting in dysuria and dyspareunia. Urodynamic studies before the operation revealed a high detrusor pressure, low maximum flow rate with an elevated post-void residual urine on voluntary voiding, and high resting urethral resistance. Removal of the mass with proper reconstruction of paraurethral support restored normal detrusor pressure, maximum flow rate, and post-void residual, resulting in amelioration of her voiding difficulty and dyspareunia. The operative procedure did not affect leak point pressure and she is free from stress urinary incontinence.